Healthy Habits Questionnaire – Ages 10+ (Pack of 100)



The Healthy Habits Questionnaire is used during well visits.  The tool provides self-assessment for the patient and a conversation opener for the provider and practice team. Responses are reviewed with the patient using  patient-centered counseling such as Motivational Interviewing to learn more about the patient’s goals and readiness to change health behaviors.  Use the chart on the back of the questionnaire if the patient needs ideas to help move them closer to their goal.  Then, the tool can be taken home as a reminder.

Pack of 100.